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Form BP-A1053 Inmate Consent / Declination for HIV Post-exposure Prophylaxis
What Is Form BP-A1053?
This is a legal form that was released by the U.S. Department of Justice - Federal Bureau of Prisons on June 1, 2014 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form BP-A1053?A: Form BP-A1053 is the Inmate Consent/Declination form for HIV Post-exposure Prophylaxis.
Q: What is the purpose of this form?A: The purpose of this form is to obtain consent or declination from an inmate for HIV post-exposure prophylaxis.
Q: What is HIV post-exposure prophylaxis?A: HIV post-exposure prophylaxis is a treatment given to someone who may have been exposed to HIV to help reduce the risk of infection.
Q: Who needs to fill out this form?A: This form needs to be filled out by the inmate who may have been exposed to HIV and is being offered post-exposure prophylaxis.
Q: Is this form mandatory?A: Yes, if an inmate is being offered HIV post-exposure prophylaxis, they must either provide consent or decline by filling out this form.
Form Details:
- Released on June 1, 2014;
- The latest available edition released by the U.S. Department of Justice - Federal Bureau of Prisons;
- Easy to use and ready to print;
- Yours to fill out and keep for your records;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form BP-A1053 by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the U.S. Department of Justice - Federal Bureau of Prisons.
